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Indiana Health Care Programs (IHCP) “Gold Card” Program
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Related Websites
www.indianamedicaid.com http://www.samhsa.gov/medication- assisted-treatment/buprenorphine-waiver- management/qualify-for-physician-waiver
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- Eligibility Questions
Yes No Is the individual a resident of Indiana?
Eligible Ineligible
Is the individual at least 18 years old?
Eligible Ineligible
Is the individual a member of a household with an annual income not exceeding 200% of the federal income poverty level?
Eligible Ineligible
Has the individual entered the criminal justice system as a felon
- r with a prior felony conviction?
Eligible Ineligible
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